SHANNON R JOHNSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003038

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

JOHNSON

Business Name

SHANNON R JOHNSON

Original Issue Date

08/13/1998

Effective Date

12/14/2021

Expiration Date

09/30/2023

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

06/28/2023